| NPI | 1114774106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYOJIN KIM Owner 346-241-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-12-12 |